腹腔镜手术治疗剖宫产瘢痕妊娠的临床价值-妇产科学专业论文.docxVIP

万方数据 万方数据 目 录 中文摘要 ······································································································· 1 英文摘要 ······································································································· 4 英文缩写 ······································································································· 9 研究论文 腹腔镜手术治疗剖宫产瘢痕妊娠的临床价值 前言 ······································································································· 10 材料与方法 ··························································································· 12 结果 ······································································································· 16 附表 ······································································································· 19 讨论 ······································································································· 23 结论 ······································································································· 28 参考文献 ······························································································· 29 综述 子宫剖宫产瘢痕妊娠的诊断与治疗 ··············································· 32 致谢 ··············································································································· 42 个人简历 ······································································································· 43 中 中 文 摘 要 PAGE 1万方数据 PAGE 1 万方数据 腹腔镜手术治疗剖宫产瘢痕妊娠的临床价值 摘 要 目 的 ： 由 于 世 界 范 围 内 剖 宫 产 率 据 高 不 下 ， 使 剖 宫 产 瘢 痕 妊 娠 (cesarean scar pregnancy, CSP)发生率也不断增加，该病确切病因尚不清 楚，无规范化治疗方案。CSP 临床表现无特异性，极易被误诊为宫颈妊娠、 不全流产或难免流产等。常常因处理不当而导致大出血、子宫破裂和继发 感染等凶险并发症，最后因难以控制的大出血而切除子宫。因此，早期明 确 CSP 诊断，并给予安全合理的处理方法，可有效减少并发症的发生。 本论文旨在探讨腹腔镜手术治疗 CSP 的临床价值。 方法：回顾性分析 2012 年 3 月至 2015 年 4 月就诊河北医科大学第 四医院妇产科选择腹腔镜下双侧子宫动脉阻断术+瘢痕处胚胎组织取出术 +瘢痕切除术+子宫下段瘢痕修补术治疗的 CSP 患者 10 例为实验组，并选 择同时期相同诊断患者采取传统开腹手术：剖宫取胎术+子宫下段瘢痕修 补术治疗的 20 例作为对照组。30 例患者均为首发的外生型 CSP 病例。对 比观察两组患者手术时间、术中出血量、术后血 β-hCG 降至正常时间、 术后恢复情况、术后并发症、住院时间和住院费